Related Experiment Video
Updated: Aug 19, 2026
The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
Published on: November 4, 2010
Late results of postanal repair for idiopathic faecal incontinence
A F Engel1, S J van Baal, W H Brummelkamp
1Academic Medical Centre, Department of Surgery, Amsterdam, The Netherlands.
Objective:
To assess the long term clinical results of postanal repair for idiopathic faecal incontinence.
Design:
Retrospective study.
Setting:
University hospital, The Netherlands.
Subjects:
38 patients with idiopathic faecal incontinence.
Main Outcome Measures:
Clinical outcome and its correlation with anorectal manometry.
Results:
After a median follow up of 43 months (15-126) 19 patients were classified grades 1 and 2 (satisfied) and 19 patients grades 3 and 4 (dissatisfied). Six patients deteriorated and went from grades 1 or 2 to grade 3 or 4. Satisfied patients had a significant rise in resting pressure (median 13.5 mmHg, p = 0.01, 95% CI 5 to 25) and dissatisfied patients did not.
Conclusion:
Long term follow up of patients after postanal repair shows that half the patients have a good result, although only 21% are fully continent. Long term follow up is necessary as a number of patients deteriorate.
